FOR OFFICIAL USE ONLY THE STATE BAR OF NEVADA Member Services Department P.O. Box 50 Las Vegas, NV 89125-0050 (702) 317-1430 suzannew@nvbar.org RCVD$: Voluntary Request for SCR 98.7 Transfer to Active Status Bar No.: Member Name: Phone Number: ___________________ E-mail: I hereby request that I be enrolled as an ACTIVE member of the State Bar of Nevada in accordance with SCR98.7, effective . Status change will be effective upon receipt of this form and payment in full. Payment of $1 registration fee and the full annual membership fee for an active member, for the current calendar year, less any membership fee paid as an inactive member for such year is required. Example: If you paid $125 for inactive dues and have been licensed five years or more in any jurisdiction, you will pay the difference in dues plus $1, i.e. $450 - $125 = $325 + $1 = $326 or less than five years in any jurisdiction i.e. $250 - $125 = $125 + $1 = $126 Enclosed is my check, payable to the State Bar of Nevada, for ACTIVE Membership fees. ______________________________________________________ Signature ________________________ Date If your mailing address is also changing, please make changes online at www.nvbar.org, username and password information are available at log in page. A bar card indicating your new status will be sent to you at your preferred mailing address. American LegalNet, Inc. www.FormsWorkFlow.com